In this episode, host Dr. Rebekah Bernard explores whether maintenance-of-certification (MOC) requirements are quietly worsening the U.S. physician shortage. Retired rheumatologist Dr. Mark Lopatin recounts how escalating ABIM recertification demands—and their costs—pushed him to leave clinical medicine early. Neurologist Dr. Paul Mathew then explains how similar frustrations led him to help launch the National Board of Physicians and Surgeons (NBPAS), a low-cost, CME-based alternative to the American Board of Medical Specialties.